| NPI | 1023691946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020588) |
| 103K00000X Behavior Analyst (Licence: TX 1-24-72236) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-03-27 |